Medical Surgical Musculoskeletal Exam New 2024 Latest Version with All Questions from Actual Past Exam and 100% Correct Answers
A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse provide the client? --------- Correct Answer ---------- Hold your arm against the side of your body.
During a report, a nurse is told a client who was recently casted for a radial fracture for compartment syndrome. For which of the following findings should the nurse assess? --- ------- Correct Answer ----------- Numbness and tingling
Rationale: Compartment syndrome involves the compression of nerves and BV within an enclosed space, leading to impaired blood flow and nerve damage. Hallmark symptom of compartment syndrome is severe pain that does not respond to elevation or pain medication, in more advance cases, there may be numbness, tingling, weakness, and paleness of the skin
A night shift nurse is assigned to care for a client who is 12 hr postop following a total knee arthroplasty. The nurse finds the client's leg in a continuous passive motion machine, a drain attached to an evacuator unit is in place, and the client has a PCA device. The client reports to the nurse, "I am in so much pain." The nurse's first action at this time is too ---------- Correct Answer ----------- Complete the assessment of the client including the client's pain
Rationale: Replaces a painful, damaged, or diseased knee joint with a prosthetic joint
Following shoulder surgery, a client is instructed to keep the arm adducted at all times.The nurse explains to the client that this means he must keep the arm ---------- Correct Answer ----------- Close to the body
A nurse is caring for a client who sustained a traumatic injury to the leg in a farming accident resulting in amputation. Following an above-the-knee amputation, which of the following is the highest priority in the client's immediate postop care? ---------- Correct Answer ----------- Risk for hemorrhage
A nurse notes on a client's MAR that the client is to receive alendronate sodium (Fosamax). The nurse should know that for proper absorption of the medication that the client must ---------- Correct Answer ----------- Sit up for 30 mins after administration
Rationale: Full glass of water first thing in the morning on an empty stomach to prevent esophageal irritation
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A nurse is caring for a client who had a below the knee amputation for gangrene of the right foot. The client reports sensations of burning and crushing pain in the toes of the right foot. Which of the following statements should the nurse make? --------- Correct Answer ---------- An anticonvulsant medication can be helpful in relieving this type of pain.
A nurse is caring for a client who is postoperative following shoulder surgery. The client has a prescription to keep the affected arm adducted. Which of the following instructions should the nurse provide the client? --------- Correct Answer --------- Hold your arm against the side of your body.
A nurse is caring for a client who had a below the knee amputation for gangrene of the right foot. The client reports sensations of burning and crushing pain in the toes of the right foot. Which of the following statements should the nurse make? --------- Correct Answer --------- An anticonvulsant medication can be helpful in relieving this type of pain.
A nurse is caring for a client immediately following application of a plaster cast. The nurse should monitor for and report which of the following findings as an indication of compartment syndrome? --------- Correct Answer --------- Paresthesias of the extremity.
A nurse in an urgent care clinic is reinforcing teaching with a client following a Grade 2 (moderate) ankle sprain. Which of the following instructions should the nurse plan to include? --------- Correct Answer --------- Apply cold compresses to the extremity intermittently.
A nurse is reviewing the medical record of a female client. Which of the following findings should the nurse identify as a risk factor for osteoporosis? --------- Correct Answer --------- History of anorexia nervosa
A nurse is caring for a client who was in a motor vehicle crash 2 days ago and sustained fractures to his tibia, ulna, and several ribs. The client is disoriented to time and place, has a SaO2 of 87%, and the nurse notes generalized petechiae on the clients skin. Which of the following complications should the nurse suspect? --------- Correct Answer --------- Fat embolism syndrome.
A nurse in an ambulatory clinic is caring for a client who has facial trauma to the nose.Which of the following actions should the nurse take first? --------- Correct Answer --------
- Determine the client's ability to take deep breaths.
A nurse is caring for a client who has a pelvic fracture. The client reports sudden shortness of breath, stabbing chest pain, and anxiety. The nurse should notify the charge nurse that the client is experiencing which of the following complications? --------- Correct Answer --------- Pulmonary embolus
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